Acts Online
GT Shield

Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)

Scale of Fees

Annual Increase in Medical Tariffs for Medical Service Providers - 2019

Renal Care, Wound Care and Social Workers

Umehluko Electronic Invoicing File Layout

 

N188 Electronic Invoicing File Layout

 

UMEHLUKO ELECTRONIC INVOICING FILE LAYOUT

 

Field

Description

Max length

Data type

 

BATCH HEADER



1

Header identifier = 1

1

Numeric

2

Switch internal Medical aid reference number

5

Alpha

3

Transaction type = M

1

Alpha

4

Switch administrator number

3

Numeric

5

Batch number

9

Numeric

6

Batch date (CCYYMMDD)

8

Date

7

Scheme name

40

Alpha

8

Switch internal

1

Numeric

 

DETAIL LINES



1

Transaction identifier = M

1

Alpha

2

Batch sequence number

10

Numeric

3

Switch transaction number

10

Numeric

4

Switch internal

3

Numeric

5

CF Claim number

20

Alpha

6

Employee surname

20

Alpha

7

Employee initials

4

Alpha

8

Employee Names

20

Alpha

9

BHF Practice number

15

Alpha

10

Switch ID

3

Numeric

11

Patient reference number (account number)

10

Alpha

12

Type of service

1

Alpha

13

Service date (CCYYMMDD)

8

Date

14

Quantity/Time in minutes

7

Decimal

15

Service amount

15

Decimal

16

Discount amount

15

Decimal

17

Description

30

Alpha

18

Tariff

10

Alpha

 

 

Field

Description

Max length

Data type

 

19

 

Service fee

 

1

 

Numeric

20

Modifier 1

5

Alpha

21

Modifier 2

5

Alpha

22

Modifier 3

5

Alpha

23

Modifier 4

5

Alpha

24

Invoice Number

10

Alpha

25

Practice name

40

Alpha

26

Referring doctor's BHF practice number

15

Alpha

27

Medicine code (NAPPI CODE)

15

Alpha

28

Doctor practice number  -sReferredTo

30

Numeric

29

Date of birth/ID number

13

Numeric

30

Service Switch transaction number - batch number

20

Alpha

31

Hospital indicator

1

Alpha

32

Authorisation number

21

Alpha

33

Resubmission flag

5

Alpha

34

Diagnostic codes

64

Alpha

35

Treating Doctor BHF practice number

9

Alpha

36

Dosage duration (for medicine)

4

Alpha

37

Tooth numbers


Alpha

38

Gender (M, F)

1

Alpha

39

HPCSA number

15

Alpha

40

Diagnostic code type

1

Alpha

41

Tariff code type

1

Alpha

42

CPT code/CDT code

8

Numeric

43

Free Text

250

Alpha

44

Place of service

2

Numeric

45

Batch number

10

Numeric

46

Switch Medical scheme identifier

5

Alpha

47

Referring Doctor's HPCSA number

15

Alpha

48

Tracking number

15

Alpha

49

Optometry: Reading additions

12

Alpha

50

Optometry: Lens

34

Alpha

51

Optometry: Density of tint

6

Alpha

52

Discipline code

7

Numeric

53

Employer name

40

Alpha

54

Employee number

15

Alpha

 

 

 

Field

 

Description

 

Max length

 

Data type

55

Date of Injury (CCYYMMDD)

8

Date

56

IOD reference number

15

Alpha

57

Single Exit Price (Inclusive of VAT)

15

Numeric

58

Dispensing Fee

15

Numeric

59

Service time

4

Numeric

60




61




62




63




64

Treatment Date from (CCYYMMDD)

8

Date

65

Treatment Time (HHMM)

4

Numeric

66

Treatment Date to (CCYYMMDD)

8

Date

67

Treatment Time (HHMM)

4

Numeric

68

Surgeon BHF Practice Number

15

Alpha

69

Anaesthetist BHF Practice Number

15

Alpha

70

Assistant BHF Practice Number

15

Alpha

71

Hospital Tariff type

1

Alpha

72

Per diem (Y/N)

1

Alpha

73

Length of stay

5

Numeric

74

Free text diagnosis

30

Alpha

 

TRAILER




1

Trailer Identifier = Z

1

Alpha

2

Total number of transactions in batch

10

Numeric

3

Total amount of detail transactions

15

Decimal